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Labor and Delivery Part 1 Questions With Correct Answers

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Labor and Delivery Part 1 Questions With Correct Answers lightening - ANS-Baby dropping; baby comes forward & down; breathing & eating become better; baby puts more pressure on the bladder; (nullipara will usually feel it earlier than a multipara); causes effacement & dilation. (Usually 2 weeks before delivery). intrapartum - ANS-Begins with the onset of regular/progressive uterine contractions (UCs) and lasts until the expulsion of the placenta. (True labor). Prodromal and/or Premonitory Signs - ANS-Lightening, increased vaginal discharge and show, return of urinary frequency, stronger Braxton Hicks contraction, low backache, burst of energy or 'nesting', weight loss, cervical ripening, possible SROM. (N & V, indigestion, diarrhea). True Labor: Contractions - ANS-Regular/stronger/longer; intensity increases with walking; occur closer together; continue through comfort measures; felt in lower back/lower part of abdominal. True Labor: Cervix - ANS-Softening; dilation; bloody show; moves to anterior position. (Cervical change is thinly true indicator of true labor). True Labor: Fetus - ANS-Presenting part is usually engaged in pelvis; increased ease of breathing; resulting in urinary frequency. (Vag exam is the only way you can tell if they are engaged). False Labor: Contractions - ANS-Irregular/become regular but only temporary; stop with walking/position change; can stop with comfort measures; felt in back/abdomen - above umbilicus (higher). False Labor: Cervix - ANS-No significant change; no bloody show, dilation; soft. False Labor: Fetus - ANS-Presenting part is usually not engaged in pelvis. When should a woman come to the hospital if she thinks she may be in labor? - ANS-Multipara: Contractions every 10 minutes. Nullipara: Contractions every 5 minutes apart. (If they have never deliver, let them get closer together). If client thinks they are in true labor. Contractions are 1 minute long each & 5 minutes apart (consistent pattern for 1 hour). When clients water has been broken and has developed some contractions. (Within 8-hours of it breaking.) If clients water has a foul smell, water has green, black, or brown in it, or if baby stops moving. As a Birth Center nurse what advice would you give to the client if she called? What factors need to be considered? What questions need to be asked? - ANS-Multipara or Primipara?; COAT (ask when membrane breaks); call provider; has fetal movement changed?; how far along are they?; how far do they live from hospital?; how long was their last deliver?; is it winter?; are they crowning/any body part hanging out?; blurred vision/severe headaches/dizzy/fainting?; spontaneous rupture of membranes (want to deliver within 24 hours after rupture - risk for infection), ask to describe the discharge (anything other than streaks/dots in mucus; true labor questions

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